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1 Report: Maine Minimum Data Set Maine s Nurses who Renewed their Licenses between September 1, 2002 and August 31, 2004 April 2006 Report prepared by Jane Kirschling Dean and Professor of Nursing University of Southern Maine College of Nursing and Health Professions Contact information: PO Box 9300 Portland, ME Appreciation is expressed to: 1) Robert Wood Johnson Executive Nurse Fellows Program who provided financial support for this work. 2) Myra Broadway, Executive Director Maine State Board of Nursing, and the MSBON staff for their ongoing efforts related to the Maine Minimum Data Set. 3) Charles Colgan, Professor of Public Policy and Management, Muskie School of Public Service, USM, for his assistance with data analysis; to staff in the Center for Business and Economic Research, USM for their extensive work in preparing the data for analysis; to Sharon Gerrish, Administrative Assistant II, USM for cleaning the data; and to James Barnes, Data Processing Coordinator/Scanner Operator, USM for scanning the data.

2 The Maine Minimum Data Set was developed in through a collaborative effort of OMNE Nursing Leaders of Maine, the Maine State Board of Nursing, ANA-Maine, the Maine State Nurses Association, and the Maine Hospital Association. An earlier pilot of licensed nurses in Maine (conducted between September 1, 2001 and August 31, 2002) (see Maine s Nursing Workforce: Sample 1 ) demonstrated that nurses were willing to participate in a voluntary survey at the time of relicensure. Beginning with September 2002 renewals, the Maine State Board of Nursing inserted with Maine Minimum Nursing Data Set (see Appendix A) with all renewal notifications. Nurses, who elected to participate, returned their completed surveys with their license renewal. Staff at the Maine State Board of Nursing collected the completed surveys and forwarded them to the University of Southern Maine (USM) for scanning and analysis. The Institutional Review Board at USM reviewed this protocol and determined this study to be exempt. A total of 15,960 licensed nurses, including Licensed Practical Nurses (LPNs) [1,995, 12.7 percent of the respondents] and Registered Nurses (RNs) [13,714, 87.3 percent of the respondents], completed the survey during the two-year renewal period. An estimated 23,000 LPNs/RNs received renewal notices during the two-year period (estimated response rate 69 percent). According to the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) it is estimated that there were 2,909,467 registered nurses living and working in the United States as of March ,3. The results of the survey are provided below for the entire sample, as well as by County of Employment 4. Where national data is available (HRSA, 2004), it is provided for purposes of comparison. Racial/Ethnic Group Licensed Nurses DEMOGRAPHIC INFORMATION 15,103 (97.4%) White, not of Hispanic origin 100 (.6%) Asian/Pacific Islander 86 (.6%) Other 73 (.5%) Hispanic 63 (.4%) American Indian/Alaskan Native 56 (.4%) Multi-racial 24 (.2%) Black, not of Hispanic origin 1 Kirschling, J.M. (March 2003). Maine s Nursing Workforce: Sample. Available at 2 HRSA. (March 2004). The Registered Nurse Population: National Sample Survey of Registered Nurses March 2004 Preliminary Findings. Available at: 3 The National Sample Survey of Registered nurses is conducted by the Department of Health and Human Services, Health Resources and Services Administration. Data collection began in March 2004 for the eighth survey and responses were received through November The national sample included 540 RNs licensed in Maine. 4 Sum of percentages may not equal 100%, due to rounding.

3 Nationally, about 7.5% of RNs did not specify their racial/ethic background and 81.8 percent of the RN population were estimated to be White (non-hispanic), leaving 10.6 percent in one or more of the identified racial and ethnic minority groups (HRSA, 2004, p. 6). Gender Licensed Nurses 14,750 (93.7%) Female 992 (6.3%) Male Gender of Registered Nurses (RNs) Comparison: Nationally and in Maine Nationally (HRSA, 2004) Maine Female 95.3% 93.4% Male 5.7% 6.6% Age of Respondents Licensed nurses were 49.4 on average (mean), range 22 to 90 years. The LPNs were 52.4 on average, range 23 to 86 years and the RNs were 48.9 on average, range 22 to 90 years. Nationally, the average age of the RN population was estimated to be 46.8 years of age (HRSA, 2004, p. 5). The breakdown of ages for nurses in Maine follows: All Respondents (n=15,672) LPNs Working as Nurse (n=1,446) LPNs Not Working as Nurse (n=491) RNs Working as Nurse (n=11,396) RNs Not Working as Nurse (n=2,042) 20 to 31 years 6.1% 2.0%.6% 7.9% 1.0% 32 to 41 years 17.5% 11.4% 6.5% 20.4% 9.4% 42 to 51 years % 29.9% 35.6% 20.6% 52 to 61 years 30.1% 40.4% 39.5% 28.9% 30.7% 62 to 71 years 10.6% 10.4% 18.9% 6.8% 29.1% 72 to 81 years 1.8% 1.0% 4.1%.5% 8.1% 82 to 91 years.2% -.4%.0 1.1% Time as a Nurse The respondents on average had been an LPN or RN on average 23.0 years (range 0 to 69). Where Respondents Live 86.5% of licensed nurses live in Maine (13,810) and 13.4% live outside of Maine (2,150); of those who lived in Maine their County of Residence was: 1,113 (8.1%) Androscoggin 854 (6.2%) Aroostook 3,166 (23.0%) Cumberland 289 (2.2%) Franklin 661 (4.8%) Hancock 1,410 (10.2%) Kennebec 367 (2.7%) Knox 469 (3.4%) Lincoln

8 LPNs Working as a Nurse County County Employment Residence (n=1,289) (n=1,289) RNs Working as Nurse County Employment (n=9,656) County Residence (n=9,656) Washington 3.0% 3.0% 1.8% 1.8% York 9.0% 12.6% 8.1% 12.7% Where the nurses lived and worked is further broken down as follows: Live and work in Maine 10,903 (86.4%) Live and work outside of Maine 1,324 (10.5%) Live in Maine and work outside of Maine 241 (1.9%) o 133 work in New Hampshire of which the vast majority live in York county (117) o 54 work in Massachusetts of which the majority live in York (27) or Cumberland counties (10) o 5 work in Vermont Live outside of Maine in United States 82 (.7%) Live outside of United States (i.e., Canada) 63 (.5%) Comparison of Maine Nurses Working in Hospital Versus Nonhospital Settings % LPNs in Setting % RNs in Setting Hospital Nonhospital Hospital Nonhospital Age range in years N=280 n=1,144 n=6,201 n=5, to to to to to to to Gender N=281 n=1,136 n=6,233 n=5,076 Female Male Plans to be working nursing in five years N=281 n=1,133 n=6,202 n=5,052 Yes No Uncertain

9 NURSING FACULTY IN COLLEGES/UNIVERSITIES IN MAINE Respondents who identified their position as nursing faculty in a college or university, who work in Maine, were 53.2 years of age on average (range 31 to 72 years). Their plans in terms of working in 5 years included: Yes 106 (77.4%) No 12 (8.8%) Uncertain 19 (13.9%) RESPONDENTS NOT WORKING IN NURSING Reason Best Describes Why Currently Not Employed as an LPN or RN Respondents Not Working In Nursing N % Mean Age Age Range Retired % Family Responsibilities % Other Career Opportunity % Health Problems % Adverse Working Conditions % Unable to Find Desired Position % Other % Physical Demands % Time Schedules % Wages/Benefits % Pursuing Educational Opportunities % Unable to Find Refresher Course % For those Actively Seeking Work as an LPN or RN (n=299), the number of hours per week that they preferred to work was 27.5 on average, range 3 to 40. There were 63 LPNs seeking work, mean number of hours preferred 28.9 (range 5 to 40) and 231 RNs seeking work, mean number of hours 27.1 (range 3 to 40) For those Actively Seeking Work as an LPN or RN, Preference for Employment Setting 59 (20.1%) Hospital 21 (7.1%) Ambulatory care 35 (11.9%) Public/community health 7 (2.4%) Occupational health 21 (7.1%) Insurance company 34 (11.6%) Long term care 39 (13.3%) Home health care 17 (5.8%) Nursing education 17 (5.8%) School health 44 (15.0%) Other j-127

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